The URL can be used to link to this page

Home My WebLink AboutPermit Plumbing 1997-01-30RESIDENTIAL PERMIT APPLICATION lnspections:726-3769 Office: 726-3759 !;PFlINGFIELD Air, JOB NUMEER 225 Fif th Street Springfleld, Oregon 97 477 LOCATION OF PROPOSED WORK:,26tr 47/z ASSESSORS MAP:v6 rq TAX LOI LOT; - BLOCK:SUBDIVISION:-- STATE ZIP:CITY: ADDRESS: OWNER: HERLONl-t DESCRIBE WORK: NEW- REMOD ADDRESS EXPIRES PHONECONTRACTOR'S NAME MECHANICAL: ELECTRICAL: CONST. CONTRACTOR # GENERAL: PLUMBING _ OFFICE USE _ I OF BDRMS: RANGF.WATER HEATER: LAND USE: # OF UNITS QUAD AREA: r OF BLDGS: FLOOD I)LAIN: ZONING CODE SECONDARY HEAT: SQUARF. FOOTAGE: CONSTR. TYPE HEAT SOURCE: OCCY GROUP: E OF STORIES: To request an lnspection, you must call 726'3769. Thls ls a24nour recordlng. All inspections requestecl before 7:00 a.rn. wlll bemade the same worklng day, lnspections requested after 7:00 a.m. will be ma<Je the following work day. REQUIRED INSPECTIONS Temporary Electric Rough Mechanlcal - Prior to cover.w Final Plumbing - When allplumbing worl< is complete. Site lnspection - To be madc af ter excavation, but prior tosetting forms. Rough Electrical - Prior to W Final Electrical - When alt electrical worl< is complete.cover. Underslab Plumbing/ Electrical / Mechanlcal - Prior to cover.Electrical Service - Must be approvect to obtalrr perrnanent electrlcal power. Final Mechanical - When allmechanical worl( is cornplete. Footlng - After trenches are excavated.Final Building - When allrequired inspections have been approved and building is completed.Masonry - Steel locatlon, bond beams, groutlng. Foundatlon - After forms are erected but prior to concrete placement. Other Underground Plumbing - Prior to filllng trench. Underlloor Plumbing/ Mechanical - Prior to lnsulatlon or decking. MOBILE I.IOME INSPECTIONS Post and Beam - Prior to floor insulation or decking.lnsert - After fireplace approval and lnstallation of unit. [-_l Slocking and Ser.Up - When alt 'J blockinl; is cornpleie. Floor lnsulation - Prior to decklng.Curbcut & A1:proach - After forms are erected bUt prior toplacement of concretc.l. Plumbing Connections - When home has been connected to water and sewer. Sanitary Sewer - Prior to filling trench.Eleclrical Connection - Whenblocking, ser-up, and plumbing inspections have been approved and the home is connected tothe service panel. Storm Sewer - Prior to filling trench. Sidewalk & Driveway - After excavation is complete, forms and sub-base materlal in place. Water Line - Prlor to filling trench.[l Fence - When compteted {ilrosl Trcos - Whcn all requlred trees are planled. Final - After all requiredinspectlons are approved andporclres, skirting, decl<s, andvcntlng ltavc bc.cn lnstallecl. w Rough Plumblng - Prlor to cover. 2 2.,*o PHONE: ?'-,7: tl fl [l flreplace - Prtor to factng - materlals and framing lnsp. [--l Framlng - Prlor to cover. [--l Wall/Ceiling lnsularion - prtor tot-' cover. [-_-l Drywall - Prlor to taping. l-l Wood Stove - After tnstaltation. tl E Lot faces Lot sq. ftg. Lot coverage Topography Total height Lot Type - lnterior - Corner - Panhandle - Cul-de-sac Setbacks P.L.HSE GAR ACC N S E IS THE PROPOSED WORK iN THE HISTORICAL OISTRICT, OR ON THE HISTORICAL REGISTER? - lf yes, this applicatlon must be slgned and approved by the Historical Coordinator prior to permit issuance. APPROVED: BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT This permit is granted on the cxpress condition that the said construction shall, in all respects, conform to the Ordinance adopted by the City of Springfield, including the Development Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plans Reviewed By Date Plan Check Fee: Date Paid Receipt Number Received By VALUE (A) x $/so. r--T. Total Value Building Permit Fee State Surcharge Total Fee BUILDING PERMIT ITEM SO. FT. Main Garage Carport SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge is due on all undeveloped properties within the City linrits which are being improved. FEE (c)/6.> FI FT. FT, Residential Bath(s) PLUMBING PERMIT Plumbing Permit State Surcharge Total Charge r'E@,2/% N0 Sanitary Sewer Water Storm Sewer Moblle Home ITEM Fixtures ADDITIONAL COMMENTS Wood Stove/ lnsert/ Fireplace Unit Dryer Vent (D) N0Vent Fan MECHANICAL PERMIT Furnace Exhaust Hood By slgnature, I state and agree, that I have carcfully examined the completed application and do hereby certi fy that all lnformation hereon is true and correct, and I f urther certify that any and all work performed shall be done in accordance with the Ordinances of the City of Sprlngfield, and the Laws of the State of Oregon pertaining to thc work described herein, and that NO OCCUPANCY will be made of any structure without perrnission of the Buildirrg Safety Division. I further certify that only contractors and employees who are in compliance with OFIS 701.055 will be used on this prolect. I f urther agree to ensure that all required inspections are requested at the proper time, that each address is readable from the street, that the permlt card ls located at the frgnt of the property, and the approved set of plans will remain Date .L on the site .all times during construction Signatu MISCELLANEOUS PERMITS Mobile Home State lssuance Statc Surcharge Sidewalk - ft Curbcut - ft Demolition State Surcharge Total Miscellaneous Perrnits (E) TOTAL AMOUNT DUE (excluding electrical) (A, B, C, D, and E Combined) kzg VALIDATION: BECEIPT NUMBER DATE PAID AMOUNT RECEIVT..D RECEIVED BY -e/ zfu<fr,-,-ffi- Mechanical Permit lssuance State Surcharge Total Permit 225 FIFTB STR.EET SPRINGFIELD, OREGON 9 INSPECTION REQTIEST: OFFICE: 726-3759 I 477 726-3769 [l h4 SPFIT'{GFIELT) ELECTRICAL PERHIT APPTICATION Ci ty Job Nunber 3. COHPI,ETE FEE SCffiDTILE BELOV A Nev Residential-Sing1e or Multi-Family Per dvelling unit' Service Included: Items Cos t $ 8s.00 s 1s.00 $ 40.00 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home. or Modular Dvelling Sertice or Feeder B Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amPs - 40L amps to 600 amPS - 601 amps to 1000 amPs- 0ver 1000 amps/vo1ts c rilowing project as subn 13, and does not roquire Lr>L 1 ON OF IJGAL DESCRIPTTONv JOB DESCRTPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI.ATION ONLY Electrical Contractor Address Ci tv Phone Supervisor License Number Expiration Date Signature of Supervising Electrician Owners Name Address Ci ty OIINER INSTALLATION The installation is being made on property I ovn vhich is not intended for sa1e, lease or rent. s DATE: 200 amps''or less S 20L amps to 400 amPs _- $over 4bL to 600 amps - $ Over 600 amps or 10OO-\';ITS se Sum above .00 .00 .00 r?Bn s 2.00 s s0.00 s 50.00 s100. 00 s130.00 $300.00s 40.00 40 55 80 e Expiration Date Constr Contr. Number Temporary Services or Feeders Insiallation, Alteration or Relocation D Branch Circuits Nev, Alteration or Extension Per Panel -Za3s.oo ?5-n {rT^ ,- Phone ??/ -/82) One Circuit Each Additional Circuit or vith Service or Feeder Permit E. Miscel-laneous (Service/feeder not included) -Each installation Pump or irrigation - Sign/0ut1ine Lighting- Limited Energy/Res Limi ted Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 32 Administrative Fee TOTAL $ $ $ s 40.00 40.00 20.00 36.00 RECETVED BY: 5 ce frr; fi